The nurse caring for a client who was the victim of Intimate Partner Abuse (IPV) has identified the nursing diagnosis of "Ineffective Coping, related to a situational crisis secondary to ongoing cycle of violence, as evidenced by inability to ask
for help." A possible outcome objective for this diagnosis would be which of the following? a. The client will state reasons her husband needed to hurt her.
b. The client will verbalize her feelings, strengths, and needs.
c. The client will state that she deserved to be battered.
d. The client will not press charges against her husband.
B
The most appropriate outcome for a nursing diagnosis of "Ineffective Coping, related to a situational crisis secondary to ongoing cycle of violence, as evidenced by inability to ask for help," is for the client to verbalize her feelings, strengths, and needs. The other outcomes do not demonstrate improvement in the client's thinking.
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The assessment of a patient's ability to think can be evaluated by asking the patient:
a. to add three numbers together in his head. b. to identify the name of the present month. c. what he would do in the event of a fire. d. what the last major holiday was.
Daily dietary calcium intake affects
a. body temperature. b. muscular strength. c. bone calcium levels. d. blood calcium levels.
Which finding indicates that a patient is experiencing increased peripheral resistance and vasoconstriction?
1. Strong bounding pulse with deep red coloring 2. Pale, cool extremities with decreased pulses 3. Increased venous engorgement with strong pulses 4. Faster than normal capillary refill time
Nursing students describe actions while practicing physical assessment of a newborn using a model. Which nursing student's statement indicates the need for further teaching?
1. "I auscultated the infant's heart tones for 1 minute." 2. "I palpated peripheral pulses in all the newborn's extremities." 3. "I obtained a higher blood pressure on the legs than on the arms." 4. "I obtained the infant's heart rate by observing the cardiac monitor."